How Does a Breast Lift Work? Your Complete Guide to Breast Lift Surgery

If you are considering breast lift surgery, you may wonder how it works and what it involves. A breast lift, or mastopexy, is a popular cosmetic procedure designed to restore the firmness and shape of the breasts. This guide will answer all your questions, from what a breast lift is to understanding the different types of breast lifts and how to prepare for and recover from the procedure.

What is a breast lift?

A breast lift is a surgical procedure that raises and reshapes sagging breasts by removing excess skin and tightening the surrounding tissue. While it does not add volume like breast implants, it restores a more youthful appearance by lifting the breasts and repositioning the nipple and areola. It is important to note that a breast lift does not increase breast size but improves the overall appearance, making breasts look fuller and shapelier.

Why have a breast lift?

A breast lift is a surgical procedure that can help restore a more youthful and aesthetically pleasing appearance to the breasts. There are several reasons why a woman may consider having breast uplift surgery. One of the most common reasons is to address sagging breasts, which can occur due to ageing, weight loss or pregnancy. Over time, factors like gravity, loss of skin elasticity, and hormonal changes can cause the breasts to lose their firmness and shape. A breast lift can help to lift and firm the breasts, improving their overall shape and appearance. Additionally, a breast lift can help to reduce the appearance of excess skin and improve the overall contours of the breasts. This surgical procedure not only enhances the physical appearance but can also boost self-confidence and comfort in clothing.

How does a breast lift work?

During breast lift surgery, a cosmetic surgeon makes incisions in key areas around the breast. The most common incision patterns are:

• Lollipop lift: an incision around the areola and vertically down to the breast crease. Suitable for moderate to severe sagging.

• Anchor lift: this technique includes three incisions - around the areola, vertically down to the breast crease, and horizontally along the crease. It is typically used for significant sagging.

• Doughnut lift: a circular incision around the areola, perfect for moderate sagging and can reduce areola size.

• Crescent lift: a small incision along the upper half of the areola; ideal for minimal sagging.

Once the incisions are made, the surgeon removes excess breast skin, lifts the breast tissue and repositions the nipple and areola to a more youthful position. The breast skin quality is crucial for maintaining good breast positioning post-surgery. The incisions are then closed, often with dissolvable sutures.

Breast lift vs. breast augmentation

A breast lift and breast augmentation are two separate surgical procedures that can be used to enhance the appearance of the breasts. A breast lift is designed to lift and firm the breasts, addressing issues like sagging and excess skin. This procedure reshapes the breast tissue and repositions the nipple and areola to a higher, more youthful position. 

On the other hand, breast augmentation focuses on increasing the size of the breasts using implants or fat transfer. While a breast lift can improve the overall shape and appearance of the breasts, it does not add volume. If a woman is looking to increase the size of her breasts, a breast augmentation may be a better option. However, if the goal is to improve the breast’s shape and position without changing their size, a breast lift may be the ideal choice. In some cases, women opt for a combination of both procedures to achieve their desired look.

Preparing for breast lift surgery

Preparing for breast uplift surgery involves several important steps to ensure the best possible outcome. First, schedule a consultation with a board-certified plastic surgeon to discuss your options and determine if a breast lift is right for you. During the consultation, the surgeon will assess your overall health, breast tissue, and skin elasticity to determine if you are a good candidate for the procedure. If you are deemed a suitable candidate, the surgeon will explain the procedure in detail, including the risks, benefits, and what to expect during recovery. It is crucial to ask any questions you may have and to follow the surgeon’s pre-surgery instructions, which may include avoiding certain medications, quitting smoking, and arranging for someone to drive you home after the surgery.

The breast lift procedure: what to expect

Typically, a breast uplift surgery lasts between two to three hours and is performed under general anaesthesia. Here is a step-by-step overview of what happens during a breast lift, or breast uplift:

Incisions and tissue reshaping: the surgeon begins by making incisions based on the selected technique, then lifts and reshapes the breast tissue to create the desired contour.

Nipple and areola repositioning: the nipple and areola are relocated to a higher, more youthful position, enhancing the overall appearance.

Excess skin removal: any extra skin is removed to help firm and lift the breasts, creating a smoother, tighter profile.

Closing the incisions: finally, the incisions are closed with care, using sutures that help minimise scarring for a more natural look.

How long does a breast lift last?

The results are long-lasting, though not permanent. Most people can expect their breast lift to last for several years, with many enjoying results for 10-15 years. Maintaining a stable weight and following a healthy lifestyle can help prolong the effects of a breast uplift operation.

Recovery and aftercare

The recovery process is essential to achieving the best results. As women age, breasts naturally droop, and a breast lift can help restore a more youthful appearance. After your breast lift surgery, you should:

• Rest and take time off: plan to take at least one to two weeks off work for initial recovery.

• Wear a supportive bra: a surgical or sports bra will help support your breasts and minimise swelling.

• Avoid strenuous activities: refrain from heavy lifting and vigorous exercise for four to six weeks.

• Attend follow-up appointments: regular check-ups with your surgeon are important to ensure proper healing.

Recovery timeline

The recovery timeline for breast lift surgery can vary depending on the individual and the extent of the procedure. However, most women can expect to experience some discomfort, swelling, and bruising in the days and weeks following the procedure. Here is a general outline of what to expect during the recovery period:

• Immediately after the procedure: you may experience some discomfort, swelling, and bruising. A thin tube may be placed near one or more incisions to drain fluid and prevent swelling.

• 1-2 weeks after the procedure: expect some discomfort and swelling. Bruising and numbness in the breasts are also common. It is important to rest and avoid strenuous activities.

• 2-4 weeks after the procedure: you should start feeling more comfortable and able to resume light activities. Some swelling and bruising may still be present.

• 6-8 weeks after the procedure: most women can resume most activities, including exercise. Swelling and bruising should be minimal by this stage.

• 3-6 months after the procedure: the final results of the procedure will become more apparent. Any remaining swelling and bruising should be minimal.

Managing discomfort and scarring

Managing discomfort and scarring after breast lift surgery is an important part of the recovery process. Here are some tips for managing discomfort and minimising scarring:

• Follow the surgeon’s instructions: carefully follow the post-operative care instructions provided by your surgeon to ensure proper healing.

• Take pain relief medication as directed: your surgeon may prescribe pain medication to help manage discomfort. Take it as directed to stay comfortable.

• Apply ice packs: Applying ice packs to the breasts can help reduce swelling and discomfort.

• Wear a supportive bra: wearing a supportive bra can help reduce discomfort and support the breasts during the recovery period.

• Avoid heavy lifting: avoid heavy lifting and strenuous activities to prevent complications and reduce discomfort.

• Keep the incisions clean: keeping the incisions clean and dry can help promote healing and reduce the risk of infection.

• Attend follow-up appointments: regular follow-up appointments with your surgeon are important for monitoring the healing process and addressing any concerns or complications.

Is a breast lift right for you?

If you are still wondering what is a breast lift and if it is the right choice for you, consider your specific goals. It is crucial to evaluate your medical history, including any family history of breast cancer when considering a breast lift. Ideal candidates are typically in good health, have realistic expectations, and are non-smokers. Consulting with a board-certified surgeon is the best way to determine if a breast lift aligns with your aesthetic goals.

What are the risks of breast lift surgery?

Like any surgery, a breast lift carries risks such as scarring, infection, and changes in nipple sensation. However, these risks can be minimised by following your surgeon's guidance and choosing a qualified professional.

If you have experienced issues with your breast lift surgery, such as unexpected complications, poor results, or prolonged pain, you may have legal options to explore. We can provide guidance on the next steps and help you understand your rights, whether that involves seeking corrective surgery or pursuing legal action. Do not hesitate to reach out for advice and support if you believe your breast lift results were not what you expected or were impacted by negligence. Our team can assist you in navigating the process and finding a resolution that best suits your situation.

Choosing the right surgeon for your breast lift

Finding an experienced, board-certified plastic surgeon is crucial for a successful outcome. Your surgeon will walk you through each step of the breast lift procedure, address any questions you have, and provide you with personalised advice. Look for a surgeon with positive reviews, extensive experience, and a portfolio of successful breast lift surgeries.

To help you make an informed decision, we have created a comprehensive guide on choosing a safe cosmetic surgeon. Our 6 Steps to Find a Safe Cosmetic Surgeon guide offers essential tips on what to look for in a surgeon, from checking qualifications and certifications to verifying reviews and examining before-and-after photos.

Have you had a breast lift go wrong?

If you have experienced complications or unexpected results from a breast lift, we are here to help. Contact us today for expert advice on your options and to discuss how we can support you through this challenging time. You can call us on 0808 115 1116 or fill out an online contact form.